| NPI | 1598217994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: TX 66252) |
| Additional Taxonomies | 2278E0002X Respiratory Therapist, Certified, Emergency Care (Licence: TX 66252) |
| 2279G1100X Respiratory Therapist, Registered, General Care (Licence: TX 66252) | |
| 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: TX 66252) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |