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 |