| NPI | 1093243164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: OH RCP14917) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MI 4401006986) |
| 227900000X Respiratory Therapist, Registered (Licence: UT 9702658-5701) | |
| 227900000X Respiratory Therapist, Registered (Licence: NV RC2581) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |