| NPI | 1982904918 |
|---|---|
| Other Name | MEDSUPPLIES.US.COM MEDSUPPLIES.US.COM MEDSUPPLIES.US.COM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |