| NPI | 1679057988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: 20911) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |