| NPI | 1942443270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: WA LR00002431) |
| Additional Taxonomies | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: WA LR00002431) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |