| NPI | 1053905349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: CA 27751) |
| Additional Taxonomies | 2278E0002X Respiratory Therapist, Certified, Emergency Care (Licence: CA 27751) |
| 227800000X Respiratory Therapist, Certified (Licence: CA 27751) | |
| 2278E1000X Respiratory Therapist, Certified, Educational (Licence: CA 27751) | |
| 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: CA 27751) | |
| 2278P4000X Respiratory Therapist, Certified, Patient Transport (Licence: CA 27751) | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |