| NPI | 1023730835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: IN 30004738A) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: FL TT17015) |
| 2278C0205X Respiratory Therapist, Certified Critical Care (Licence: IN 30004738A) | |
| 2278E0002X Respiratory Therapist, Certified Emergency Care (Licence: IN 30004738A) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |