| NPI | 1407116403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered, Home Health |
| Additional Taxonomies | 2279G0305X Respiratory Therapist, Registered, Geriatric Care |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: NC A - 3268) | |
| 2279S1500X Respiratory Therapist, Registered, SNF/Subacute Care | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |