| NPI | 1689319493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P4000X Respiratory Therapist, Registered, Patient Transport |
| Additional Taxonomies | 172A00000X Driver (Licence: NJ c00201107405012) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2024-01-19 |