| NPI | 1073866992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279E1000X Respiratory Therapist, Registered Educational (Licence: PR 309) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: PR 309) |
| 2279C0205X Respiratory Therapist, Registered Critical Care (Licence: PR 309) | |
| 2279P1006X Respiratory Therapist, Registered Pulmonary Function Technologist (Licence: PR 309) | |
| 2279P3900X Respiratory Therapist, Registered Neonatal/Pediatrics (Licence: PR 309) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |