| NPI | 1154839579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: TX RCP000078099) |
| Additional Taxonomies | 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |