| NPI | 1114167996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: TX 55666) |
| Additional Taxonomies | 2278E1000X Respiratory Therapist, Certified, Educational (Licence: TX 55666) |
| 2278G0305X Respiratory Therapist, Certified, Geriatric Care (Licence: TX 55666) | |
| 2278P1004X Respiratory Therapist, Certified, Pulmonary Diagnostics (Licence: TX 55666) | |
| 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: TX 55666) | |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation (Licence: TX 55666) | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: TX 55666) | |
| 2279S1500X Respiratory Therapist, Registered, SNF/Subacute Care (Licence: TX 55666) | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |