| NPI | 1639927668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 2278P4000X Respiratory Therapist, Certified Patient Transport |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |