| NPI | 1821613167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: GA 7363) |
| Additional Taxonomies | 2278P1006X Respiratory Therapist, Certified, Pulmonary Function Technologist (Licence: GA 7363) |
| 227900000X Respiratory Therapist, Registered (Licence: MO 2017031731) | |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: GA 7363) | |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: GA 7363) | |
| 2279G1100X Respiratory Therapist, Registered, General Care (Licence: GA 7363) | |
| 363A00000X Physician Assistant (Licence: GA 790) | |
| 363A00000X Physician Assistant (Licence: MO 2019027227) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |