| NPI | 1942351846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: KS 16-02092) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: 8845) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |