| NPI | 1063653855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: AR 1374) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: AR 1374) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |