| NPI | 1023774908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: 137535) |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation | |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2022-04-11 |