| NPI | 1942960612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: FL 2023MT513018) |
| Additional Taxonomies | 341600000X Ambulance (Licence: FL 2023MT513018) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-22 |