| NPI | 1093255986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: KY 6060) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: KY 6060) |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: KY 6060) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-09-16 |