| NPI | 1851722060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: PR 4640687) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport (Licence: PR 4640687) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |