| 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 |