| 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 |