| NPI | 1427400449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NJ 43ZA00497600) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: FL RT14233) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |