| NPI | 1801661954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X (Licence: CA B9915978) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: CA B9915978) |
| 347C00000X Private Vehicle (Licence: CA B9915978) | |
| 347E00000X Transportation Broker (Licence: CA B9915978) | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |