| NPI | 1811719339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: FL RT21336) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: FL RT21336) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-02-08 |