| NPI | 1538996541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: IL w43054459046) |
| Additional Taxonomies | 177F00000X Lodging (Licence: IL w43054459046) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |