| NPI | 1205091378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: KS 1601724) |
| Additional Taxonomies | 2278E0002X Respiratory Therapist, Certified, Emergency Care (Licence: KS 1601724) |
| 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: KS 1601724) | |
| 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics (Licence: KS 1601724) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |