| NPI | 1558530410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: UT 91-115994-5701) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: WY 18) |
| 227900000X Respiratory Therapist, Registered (Licence: MT 1047) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |