| NPI | 1962023093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MA RT2863) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: RT2863) |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: MA RT2863) | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: RT2863) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |