| NPI | 1477649416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: CA 14269) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 24605) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-03-03 |