| NPI | 1306844915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: TX 56124) |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: NM 2032) |
| 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: NM 2032) | |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: TX 56124) | |
| 2279E1000X Respiratory Therapist, Registered, Educational (Licence: TX 56124) | |
| 2279E1000X Respiratory Therapist, Registered, Educational (Licence: NM 2032) | |
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: TX 56124) | |
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: NM 2032) | |
| 293D00000X Physiological Laboratory (Licence: TX 56124) | |
| 293D00000X Physiological Laboratory (Licence: NM 2032) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2009-04-09 |