| NPI | 1902347305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: OH 3883739) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |