| NPI | 1326400433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: AZ 011845) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |