| NPI | 1760133789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 171R00000X Interpreter (Licence: NC 000034609189) |
| 172A00000X Driver (Licence: NC 000034609189) | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |