| NPI | 1801275375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NY 005055) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: NY 000292) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |