| NPI | 1912451402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NC 7183) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: IA 082278) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |