| NPI | 1336727163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: WI 122206) |
| Additional Taxonomies | 174H00000X Health Educator |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: WI 122206) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2022-09-28 |