| NPI | 1417236225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: NV RC 1189) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: FL TT 3919) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |