| NPI | 1457738288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 2279E0002X Respiratory Therapist, Registered, Emergency Care |
| 282NC0060X General Acute Care Hospital, Critical Access | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |