| NPI | 1982934295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: MD L0005052) |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: DE C9-0000856) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |