| NPI | 1679469118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X Transportation Network Company (Licence: MI P900000734117) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MI P900000734117) |
| 172A00000X Driver (Licence: MI P900000734117) | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |