| NPI | 1760239750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: CO lic00253093) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-07-30 |