| NPI | 1366826489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NY 008738-1) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NJ 43ZA00613400) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |