| NPI | 1699299354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: CA 31591) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: AZ 010921) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-11-07 |