| NPI | 1205385069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: VT 122.0000075) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: AZ 007640) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |