| NPI | 1801054457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHTESHAMUDDIN MOHAMMED President 410-750-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MD R1073) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2009-09-24 |