| NPI | 1982033346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NH 08DAM66221) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NH 564432) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2021-12-29 |