| NPI | 1376027599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278P3900X Respiratory Therapist, Certified Neonatal/Pediatrics (Licence: CA 11361) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified Critical Care (Licence: CA 11361) |
| 2278P4000X Respiratory Therapist, Certified Patient Transport (Licence: CA 11361) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |