| NPI | 1356882633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MD L06151) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: PA YM014610) |
| 227900000X Respiratory Therapist, Registered (Licence: DE C90001184) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |