| NPI | 1952451510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G0305X Respiratory Therapist, Registered, Geriatric Care (Licence: FL RT 5566) |
| Additional Taxonomies | 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: FL RT 5566) |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: FL RT 5566) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |