| NPI | 1265737019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: PA YM011618) |
| Additional Taxonomies | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: PA YM011618) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |