| NPI | 1245710037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: CA 27958) |
| Additional Taxonomies | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: CA 27958) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |