| NPI | 1568594828 |
|---|---|
| Other Name | MATTHEW E ETUK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 123810001) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |