NPI | 1063191021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 172A00000X Driver (Licence: CA 5403693) |
Additional Taxonomies | 2278P4000X Respiratory Therapist, Certified, Patient Transport (Licence: CA 5403693) |
2279P4000X Respiratory Therapist, Registered, Patient Transport (Licence: CA 5403693) | |
Enumeration Date | 2023-07-17 |
Last Update Date | 2023-07-19 |