| NPI | 1629965819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NM RCP-2023-0145) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: TX RCP02003710) |
| 227900000X Respiratory Therapist, Registered (Licence: CO RTL.0009335) | |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |