| NPI | 1902127905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: AR R-T1045) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: AR R-T1045) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |