| NPI | 1710591995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 23334) |
| Additional Taxonomies | 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: CA 23334) |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: CA 23334) | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: CA 23334) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |