NPI | 1700483351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2278C0205X Respiratory Therapist, Certified, Critical Care |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
261QE0002X Clinic/Center, Emergency Care | |
Enumeration Date | 2020-10-07 |
Last Update Date | 2020-10-07 |