NPI | 1366853012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: VA 0117006033) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2014-05-15 |
Last Update Date | 2014-05-15 |