| NPI | 1669618286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 246W00000X Technician, Cardiology |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |