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 |