| NPI | 1245422476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: PA YM011672) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: TN RRT0000003935) |
| 227900000X Respiratory Therapist, Registered (Licence: VA 0117005829) | |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2007-08-12 |