| NPI | 1821562885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: AZ 005988) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 1945208) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2019-09-20 |