| NPI | 1760774624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NC 670) |
| Additional Taxonomies | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: NC 670) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |