| NPI | 1881208072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care | |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |