| NPI | 1306633797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: DC 1917) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: DC 1917) |
| 2278E1000X Respiratory Therapist, Certified, Educational (Licence: DC 1917) | |
| 2278G1100X Respiratory Therapist, Certified, General Care (Licence: DC 1917) | |
| 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: DC 1917) | |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: DC 1917) | |
| 2278P3800X Respiratory Therapist, Certified, Palliative/Hospice | |
| 2278S1500X Respiratory Therapist, Certified, SNF/Subacute Care (Licence: DC 1917) | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |