| NPI | 1992125512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN DHALL Medical Representative 347-948-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |