| NPI | 1184492647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: AR RT-4806) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |