| NPI | 1063642692 |
|---|---|
| Former Name | MARTIN JORGE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: VA 0117003597) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |