| NPI | 1356670806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: KS 100129) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: KS 100129) |
| 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: KS 100129) | |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: MI 4401004345) | |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: CA 26818) | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: KS 100129) | |
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: KS 100129) | |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2010-11-09 |