| NPI | 1750511333 |
|---|---|
| Former Name | TIMOTHY SCOTT SAXON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 255431006) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 255-431-006) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |