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 |