| NPI | 1891948394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered General Care (Licence: FL RT 4532) |
| Additional Taxonomies | 2279G1100X Respiratory Therapist, Registered General Care (Licence: FL RT4532) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |