| NPI | 1609046630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: NY h0303060000) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: NY 40287-H) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |