| NPI | 1033350616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALAN MYZAL COO 410-833-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MD 06280885) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2013-11-19 |