| NPI | 1467326041 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA A9477164) |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |