| NPI | 1568115038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X Transportation Network Company (Licence: NJ 3636HJ) |
| Additional Taxonomies | 172A00000X Driver (Licence: NJ J84KXF) |
| 347C00000X Private Vehicle (Licence: NJ J84KXF) | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-12-09 |