| NPI | 1467743534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: OK L081688491) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |