| NPI | 1881452928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: TN 098683259) |
| Additional Taxonomies | 172A00000X Driver (Licence: TN 098683259) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-28 |