NPI | 1538735220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 171W00000X Contractor |
171WH0202X Contractor, Home Modifications | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2021-06-02 |