| NPI | 1982937900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2068903) |
| Additional Taxonomies | 2278P1004X Respiratory Therapist, Certified, Pulmonary Diagnostics (Licence: TX 2068903) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |