| NPI | 1558222356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: GA 10219) |
| Additional Taxonomies | 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: GA 10219) |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2026-01-02 |