| NPI | 1164847620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: RCP-3411) |
| Additional Taxonomies | 2278E0002X Respiratory Therapist, Certified Emergency Care (Licence: AR RCP-3411) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |