| NPI | 1477994861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: AZ 010751) |
| Additional Taxonomies | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: IL 194.007249) |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: FL RT12357) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |