| NPI | 1750805784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: CA 18728) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 18728) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2025-11-21 |