| NPI | 1467329052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 007635252) |
| Additional Taxonomies | 344600000X Taxi (Licence: LA 007635252) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |