| NPI | 1063805547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL LAL Authorized Representative 414-325-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |