| NPI | 1629393871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278P1004X Respiratory Therapist, Certified, Pulmonary Diagnostics (Licence: TX 64966) |
| Additional Taxonomies | 2278E1000X Respiratory Therapist, Certified, Educational (Licence: TX 64966) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |