| NPI | 1366574220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: FL tt142) |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified, Home Health |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |