| NPI | 1932903424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: AZ 022609) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: AZ 022609) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |