| NPI | 1861691941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: FL RT 917) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: FL RT 917) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |