| NPI | 1902258007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT13364) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: IN 30003311A) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |