| NPI | 1659256832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MO 2012004938) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: KS 16-03936) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |