| 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 |