| NPI | 1437517257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279E1000X Respiratory Therapist, Registered, Educational (Licence: CA 141438) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: CA 24412) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |