| NPI | 1144623729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 35956) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: CA P22038) |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: KS 143786) | |
| 376K00000X Nurse's Aide (Licence: CA 00843251) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |