| NPI | 1578821575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 40763) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: CA 13993) |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |