| NPI | 1578083267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: FL RT12004) |
| Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered, Home Health |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2025-06-05 |