| NPI | 1831465988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications (Licence: TX 13354489) |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |