| NPI | 1982058020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: OH G02501) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: OH HIC-L00299) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |