| NPI | 1053534560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA RCP13616) |
| Additional Taxonomies | 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics (Licence: CA RCP13616) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-12-06 |