| NPI | 1679724793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation (Licence: OK 2498) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: OK 2498) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |