| NPI | 1295463305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: CO RTL.0005093) |
| Additional Taxonomies | 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics (Licence: CO RTL.0005093) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |