| NPI | 1801263538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: NJ 13VH06994400) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NJ 13VH06994400) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |