NPI | 1194981027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 553651) |
Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: CA 00016033) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2008-07-30 |