| NPI | 1639641715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: CA 07110) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2018-12-29 |