NPI | 1295036903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: NC 2248) |
Additional Taxonomies | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: NC 2248) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |