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 |