| NPI | 1508474925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: TX RCP02003035) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NY 011014) |
| 227900000X Respiratory Therapist, Registered (Licence: NM RCP4215) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |