| NPI | 1932298908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: CA 12075) |
| Additional Taxonomies | 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: CA 12075) |
| 2279S1500X Respiratory Therapist, Registered, SNF/Subacute Care (Licence: CA 12075) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |