| NPI | 1992141733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NC A-5442) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: SC RCP4458) |
| 227900000X Respiratory Therapist, Registered (Licence: GA 8468) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |