| NPI | 1538402896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 55104) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: CA 14532) |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: CA 14532) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |