| NPI | 1598161341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: FL RT13073) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: FL RT13073) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2016-01-10 |