| NPI | 1609109701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: VA 0117002956) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: AZ 007621) |
| 227900000X Respiratory Therapist, Registered (Licence: NC A-3210) | |
| 227900000X Respiratory Therapist, Registered (Licence: TX 72159) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |