| NPI | 1710433628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: AZ 012021) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: AZ 157286) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |