| NPI | 1114435419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MD L04508) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care |
| 2278G0305X Respiratory Therapist, Certified, Geriatric Care | |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation | |
| 2279E1000X Respiratory Therapist, Registered, Educational | |
| 2279G1100X Respiratory Therapist, Registered, General Care | |
| 2279H0200X Respiratory Therapist, Registered, Home Health | |
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics | |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2018-01-21 |