NPI | 1457543621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203.000934) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2013-05-08 |