| NPI | 1285458919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: AZ 010507) |
| Additional Taxonomies | 2278E1000X Respiratory Therapist, Certified, Educational (Licence: AZ 010507) |
| 2278G0305X Respiratory Therapist, Certified, Geriatric Care (Licence: AZ 010507) | |
| 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: AZ 010507) | |
| 2278S1500X Respiratory Therapist, Certified, SNF/Subacute Care (Licence: AZ 010507) | |
| 2278P1004X Respiratory Therapist, Certified, Pulmonary Diagnostics (Licence: AZ 010507) | |
| 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics (Licence: AZ 010507) | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-12-12 |