| NPI | 1275972812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: TX 76392) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: CA 33843) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |