| NPI | 1447023106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278E1000X Respiratory Therapist, Certified Educational |
| Additional Taxonomies | 2279E1000X Respiratory Therapist, Registered Educational |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |