| NPI | 1326998519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT7362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9481403) |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-01-29 |