| NPI | 1104363118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: WA LR00001858) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: ID LRT-432) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |