| NPI | 1104390376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 33112) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |