NPI | 1346528791 |
---|---|
Entity Type | Organization |
Authorized Contact | DARIKO MEKVABISHVILI President 414-745-3146 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2011-08-02 |
Last Update Date | 2011-08-02 |