| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 2278G1100X Respiratory Therapist, Certified, General Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 227800000X Respiratory Therapist, Certified |
| 2278E1000X Respiratory Therapist, Certified, Educational |
| 2278G0305X Respiratory Therapist, Certified, Geriatric Care |
| 2278H0200X Respiratory Therapist, Certified, Home Health |
| 2278P1004X Respiratory Therapist, Certified, Pulmonary Diagnostics |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation |
| 2278P3800X Respiratory Therapist, Certified, Palliative/Hospice |
| 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics |
| 2278S1500X Respiratory Therapist, Certified, SNF/Subacute Care |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2018-11-28 |