| NPI | 1649054842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEV KUMAR GUPTA Md/Owner 954-943-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-03-29 |