| NPI | 1083112874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: NY 008102) |
| Additional Taxonomies | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: NY 008102) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-03-17 |