| NPI | 1811391667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered Home Health |
| Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered Home Health (Licence: MS RCP4469) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |