| NPI | 1235179367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: FL RT5636) |
| Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: FL RT5636) |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: FL RT5636) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-07-25 |