| NPI | 1831938240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 177F00000X Lodging |
| 225A00000X Music Therapist | |
| 342000000X Transportation Network Company | |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |