| NPI | 1114318490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: PA YM011443) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: FL RT6419) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |