| NPI | 1194316695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: CA 30951) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |