| NPI | 1770313652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) (Licence: CA BL-020749) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: CA BL020749) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-19 |