| NPI | 1659753465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered General Care (Licence: NJ 43ZA00615100) |
| Additional Taxonomies | 2279G1100X Respiratory Therapist, Registered General Care (Licence: NY 008779-1) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-30 |