| NPI | 1487390175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 342000000X Transportation Network Company | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-05-10 |