| NPI | 1467931303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: CA 24798) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: CA 24798) |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2021-11-22 |