| NPI | 1225538036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN531504) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: PA YM005837L) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |