| NPI | 1720757214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: FL RT10921) |
| Additional Taxonomies | 2279P4000X Respiratory Therapist, Registered, Patient Transport (Licence: FL RT10921) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-04-02 |