| NPI | 1831471408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC RN1015291) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2012-01-23 |