| NPI | 1740847409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 171W00000X Contractor |
| 171WH0202X Contractor, Home Modifications | |
| 172A00000X Driver | |
| 173000000X Legal Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |