| NPI | 1508256439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 3418M1110X Military/U.S. Coast Guard Transport Military or U.S. Coast Guard Ambulance, Ground Transport |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |