| NPI | 1679327548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: SD 1221) |
| Additional Taxonomies | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: SD 1221) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-03-03 |