NPI | 1902678790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI W32562219330) |
Additional Taxonomies | 172A00000X Driver (Licence: MI w325622139330) |
344600000X Taxi | |
Enumeration Date | 2023-10-25 |
Last Update Date | 2023-10-26 |