NPI | 1881850543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 332B00000X) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2008-08-01 |