| NPI | 1013408426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: CO RTL.0003296) |
| Additional Taxonomies | 2279G0305X Respiratory Therapist, Registered, Geriatric Care (Licence: CO RTL.0003296) |
| 2279S1500X Respiratory Therapist, Registered, SNF/Subacute Care (Licence: CO RTL.0003296) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |