| NPI | 1033510748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279E1000X Respiratory Therapist, Registered, Educational (Licence: PR 2200) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: PR 2200) |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: PR 2200) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |