| NPI | 1275235285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: TX RCP00064216) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: TX RCP00064216) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |