| NPI | 1487018966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: MN 549 tnk) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: MN 569 kdx) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |