| NPI | 1083181465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279E1000X Respiratory Therapist, Registered, Educational (Licence: NC 180) |
| Additional Taxonomies | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: NC 180) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |