| NPI | 1689040503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO NISENBAUM President 866-516-5064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2016-10-13 |