| NPI | 1831443522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CO RTL.0003496) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: 8941) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |