| NPI | 1518589613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: FL RT11658) |
| Additional Taxonomies | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: FL RT11658) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |