| NPI | 1982131660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60650) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 34223) |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: CA 34223) | |
| 2279G1100X Respiratory Therapist, Registered, General Care | |
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: CA 34223) | |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation (Licence: CA 34223) | |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: CA 34223) | |
| 2279P4000X Respiratory Therapist, Registered, Patient Transport (Licence: CA 34223) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-02-18 |