NPI | 1336642784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: CA 137142) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 137142) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2018-03-12 |