| NPI | 1629954227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MO 2014019670) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: KS 16-04559) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |