| NPI | 1225991946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 376J00000X Homemaker | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-22 |