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 |