There are many Distributors acting as MAH/ ( D- MAH), It could also be an independent 3rd Party contracted to fill the Roll ( Some exampels are EMERGO/ Pacific Bridge Medical and many others whom you can contact and learn more) or your own companies branch in Japan. ( with Quality Manager, General Manager and a Safety Manager as the key people), besides these there are other rules as well to be fufilled. I hope this is of some help. Good Luck
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