| NPI | 1235622416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279E1000X Respiratory Therapist, Registered, Educational (Licence: TX RCP00059889) |
| Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: TX RCP00059889) |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: TX RCP00059889) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX RCP00059889) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |