| NPI | 1558833897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: CA 16248) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 16248) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |