| NPI | 1437147899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: NM 2581) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM 92-278) |
| 225500000X Specialist/Technologist (Licence: NM 2581) | |
| 227800000X Respiratory Therapist, Certified | |
| 227900000X Respiratory Therapist, Registered | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2018-12-11 |