| NPI | 1366112989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: PA ym016740) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NY 009603) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |