| NPI | 1649036583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care |
| Additional Taxonomies | 2279P4000X Respiratory Therapist, Registered, Patient Transport |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |