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 |