| NPI | 1841435658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: OH RT891346) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH rt891346) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |