| NPI | 1134427735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: MO 2007035510) |
| Additional Taxonomies | 2278G0305X Respiratory Therapist, Certified, Geriatric Care (Licence: MO 2007035510) |
| 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics (Licence: MO 2007035510) | |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: MO 2007035510) | |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: MO 2007035510) | |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: MO 2007035510) | |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2011-03-05 |