| NPI | 1609563493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: AK 920056274) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |