| NPI | 1275770877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT 1483) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: WA LR 00003783) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |