| NPI | 1558429571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: TX 718059) |
| Additional Taxonomies | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: TX 58864) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |