| NPI | 1083478127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MD L00054) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |