| NPI | 1023353760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: GA 002643) |
| Additional Taxonomies | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: AL 1750) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |