| NPI | 1013309178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: MO 2009035077) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: IL 194.008539) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |