| NPI | 1356904254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL LAL Authorized Representative 414-325-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |