| NPI | 1841611035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279S1500X Respiratory Therapist, Registered SNF/Subacute Care (Licence: OH 3767) |
| Additional Taxonomies | 2278S1500X Respiratory Therapist, Certified SNF/Subacute Care (Licence: OH 3767) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2013-12-15 |