| NPI | 1558597708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: WA LR00003214) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: OR RCP0000095) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |