| NPI | 1881924108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: MD L0000725) |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: VA 0117003601) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |