| NPI | 1740548908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: TX 73815) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: AZ 009965) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2023-12-06 |