| NPI | 1447553516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: WA LR60622479) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NC A-3410) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2023-03-07 |