| NPI | 1790821544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225B00000X Pulmonary Function Technologist (Licence: WA LR00001751) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: WA LR00001751) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |