| NPI | 1821859448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P1004X Respiratory Therapist, Registered Pulmonary Diagnostics (Licence: IL 194.011230) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered Critical Care (Licence: IL 194.011230) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 194.011230) | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-23 |