| NPI | 1881406684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: IA c127019) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IA c127019) |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |