| NPI | 1881837383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: CO 1081) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: WY 560) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |