| NPI | 1750896809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: OR 305503) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: OR 305503) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |