| NPI | 1477962017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416A0800X Ambulance, Air Transport |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| 3416S0300X Ambulance, Water Transport | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |