| NPI | 1467107243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT22515) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: TN 6762) |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-02-19 |