| NPI | 1508146820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CT 001421) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: VA 0117001499) |
| 227900000X Respiratory Therapist, Registered (Licence: TX 67341) | |
| 227900000X Respiratory Therapist, Registered (Licence: CO 2943) | |
| 227900000X Respiratory Therapist, Registered (Licence: MO 2011013988) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |