| NPI | 1255633863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care |
| Additional Taxonomies | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |