| NPI | 1598205346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 341600000X Ambulance (Licence: 810714522) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-28 |