| NPI | 1174727630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: ND R-868) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 22681) |
| 227900000X Respiratory Therapist, Registered (Licence: WY 38) | |
| 227900000X Respiratory Therapist, Registered (Licence: NE 1825) | |
| 227900000X Respiratory Therapist, Registered (Licence: MT 1029) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2025-09-11 |