| NPI | 1861089286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: VT 122.0000110) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NH 1169) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |