| NPI | 1477226611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT4916) |
| Additional Taxonomies | 2279S1500X Respiratory Therapist, Registered, SNF/Subacute Care (Licence: FL RT4916) |
| Enumeration Date | 2021-07-25 |
| Last Update Date | 2021-07-25 |