| NPI | 1013528843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NJ 43ZA00473900) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: NJ 43ZA00473900) |
| 2279G1100X Respiratory Therapist, Registered, General Care (Licence: NJ 43ZA00473900) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-09-29 |