| NPI | 1295015089 |
|---|---|
| Professional Name | AMD MEDICAL SUPPLY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 348977) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-11-29 |