| NPI | 1760658025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: TX 1000093) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 1000093) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2010-01-29 |