| NPI | 1942581046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: AK 28472) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: AK 287549) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |