| NPI | 1306225297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: NV RC1618) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: AZ 009787) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |