| NPI | 1821631698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: UT 149735287) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-10-29 |