| NPI | 1821822131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: CA Y7212817) |
| Additional Taxonomies | 172A00000X Driver |
| 372600000X Adult Companion | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |