| NPI | 1407263098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NJ 43za00614200) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: PA ym014419) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |