| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171R00000X Interpreter |
| 305S00000X Point of Service |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 344600000X Taxi |
| 347C00000X Private Vehicle |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2024-02-05 |