| NPI | 1366711079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: KS 16-03771) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: KS 16-03771) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2011-12-26 |