| NPI | 1578846721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NM 2745) |
| Additional Taxonomies | 2279E1000X Respiratory Therapist, Registered, Educational |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |