| NPI | 1588540280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CA 95088F4) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: CA 8LVP144) |
| 347C00000X Private Vehicle (Licence: CA 9GFL590) | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |