| NPI | 1780394072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: VA 0117009794) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care | |
| 2279G1100X Respiratory Therapist, Registered, General Care | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |