| NPI | 1528240793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: FL RT5605) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: FL RT5605) |
| 2279G1100X Respiratory Therapist, Registered, General Care (Licence: FL RT5605) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |