| NPI | 1205139169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P1004X Respiratory Therapist, Registered Pulmonary Diagnostics (Licence: 1222) |
| Additional Taxonomies | 225B00000X Pulmonary Function Technologist |
| 227900000X Respiratory Therapist, Registered (Licence: 22225) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |