| NPI | 1922597368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NC 6215) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: VA 0117008466) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |