| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
|
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation |
| 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics |
| 2279C0205X Respiratory Therapist, Registered, Critical Care |
| 2279E1000X Respiratory Therapist, Registered, Educational |
| 2279H0200X Respiratory Therapist, Registered, Home Health |
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |