| NPI | 1710162714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered Home Health (Licence: MS RCP3540) |
| Additional Taxonomies | 2279P1005X Respiratory Therapist, Registered Pulmonary Rehabilitation (Licence: TN 3997) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2011-02-09 |