| NPI | 1164776977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278P1004X Respiratory Therapist, Certified, Pulmonary Diagnostics |
| Additional Taxonomies | 225B00000X Pulmonary Function Technologist |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |