| NPI | 1649312034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MN 3159) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: WI 3328) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |