| NPI | 1396871083 |
|---|---|
| Professional Name | HEALTHCARE MEDICAL SUPPLY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 653593) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-12-12 |