| NPI | 1205052883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: NY 003590-1) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: NY 003590-1) |
| 2278E0002X Respiratory Therapist, Certified, Emergency Care (Licence: NY 003590-1) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |