| NPI | 1922780683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 342000000X Transportation Network Company |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-11-30 |