| NPI | 1952501546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: KY 3917) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: KY 3917) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |