| NPI | 1063696367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MD L04915) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MA 5679) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |