| NPI | 1518260132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CO 1344) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: WY 648) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |