| NPI | 1598245938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |