| NPI | 1083928139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: FL RT10431) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA38940) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2022-02-28 |