| NPI | 1144704420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: ID LRT-1548) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: OR 10150401) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |