| NPI | 1134730948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: 139179) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: OH RCP.13501) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |