| NPI | 1982173878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: CA 888) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 888) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |