| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care |
| 2278E0002X Respiratory Therapist, Certified, Emergency Care |
| 2278G0305X Respiratory Therapist, Certified, Geriatric Care |
| 2278G1100X Respiratory Therapist, Certified, General Care |
| 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics |
| 2278P4000X Respiratory Therapist, Certified, Patient Transport |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |