| NPI | 1922690486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: FL TT7754) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2021-02-06 |