| NPI | 1952872301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2022-03-28 |