| NPI | 1255228052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NC 3807) |
| Additional Taxonomies | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist | |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation (Licence: NC 3807) | |
| 261Q00000X Clinic/Center | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-12-03 |