| NPI | 1467486654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: ME TH1240) |
| Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: NH 835) |
| 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: MA 3490) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |