| NPI | 1003106105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NJ 43ZA00561300) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: NJ 43ZA00561300) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-18 |