| NPI | 1124284781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: LA LT1046) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: TX 62829) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |