| NPI | 1487692109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: IL 194001530) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-03-20 |