| NPI | 1538630165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: 141815) |
| Additional Taxonomies | 2278P1006X Respiratory Therapist, Certified, Pulmonary Function Technologist |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2022-02-11 |