| NPI | 1376080903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: GA 007989) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: GA 7989) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-02-08 |