| NPI | 1578261699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: GA EMS2023001) |
| Additional Taxonomies | 341600000X Ambulance (Licence: GA EMS2023001) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |