| NPI | 1184970550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: MD L0000881) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified Critical Care (Licence: MD L0000881) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2015-10-08 |