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 |