| NPI | 1457015117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: TX RCP00066711) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2023-01-27 |