| NPI | 1972156198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MA RT10834) |
| Additional Taxonomies | 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: MA RT10834) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |