| NPI | 1760360242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: NV RC1658) |
| Additional Taxonomies | 2279P4000X Respiratory Therapist, Registered, Patient Transport (Licence: NV RC1658) |
| Enumeration Date | 2025-08-23 |
| Last Update Date | 2025-08-23 |