| NPI | 1407100530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT11776) |
| Additional Taxonomies | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: FL RT11776) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2013-01-08 |