| NPI | 1801014436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: WV LRTR1081) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: VA 0117005280) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |