| NPI | 1730591587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 21918) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: CA 21918) |
| 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: CA 21918) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |