NPI | 1386129013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2278P3900X Respiratory Therapist, Certified Neonatal/Pediatrics |
Additional Taxonomies | 227800000X Respiratory Therapist, Certified |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-09-28 |