| NPI | 1912312844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: KS 16-04168) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: KS 16-04168) |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: KS 16-04168) | |
| 2279G1100X Respiratory Therapist, Registered, General Care (Licence: KS 16-04168) | |
| 2279P3800X Respiratory Therapist, Registered, Palliative/Hospice (Licence: KS 16-04168) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |