| NPI | 1407144462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: NC A2855) |
| Additional Taxonomies | 2278P1004X Respiratory Therapist, Certified Pulmonary Diagnostics |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |