| NPI | 1598204364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: TX RCP02000753) |
| Additional Taxonomies | 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: TX RCP02000753) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |