| NPI | 1851815625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 15815) |
| Additional Taxonomies | 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: CA 15815) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |