| NPI | 1649475237 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT 7923)  | 
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MA 5671)  | 
| Enumeration Date | 2007-06-15 | 
| Last Update Date | 2007-07-08 |