| NPI | 1912770199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 171W00000X Contractor |
| 172A00000X Driver (Licence: NV 2000064787) | |
| 247200000X Technician, Other | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |