NPI | 1780181040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 347E00000X Transportation Broker |
Additional Taxonomies | 101Y00000X Counselor |
146M00000X Emergency Medical Technician, Intermediate | |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |