| NPI | 1053322669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: TN 2045) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-09-11 |