| NPI | 1982362596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MI 4401006508) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MI 506153) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |