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 |