| NPI | 1740744705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2022-01-03 |