| NPI | 1629203245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: RT9332) |
| Additional Taxonomies | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: FL RT 9332) |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: FL RT 9332) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2023-03-08 |