| NPI | 1922785724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 2279E1000X Respiratory Therapist, Registered, Educational |
| 2279G1100X Respiratory Therapist, Registered, General Care | |
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics | |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |