| NPI | 1578929923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NC A1796) |
| Additional Taxonomies | 225B00000X Pulmonary Function Technologist (Licence: NC A1796) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |