| NPI | 1609351220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3418M1110X Military/U.S. Coast Guard Transport Military or U.S. Coast Guard Ambulance, Ground Transport |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |