| NPI | 1659725729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: TX 62233) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: TX 62233) |
| 2279E1000X Respiratory Therapist, Registered, Educational (Licence: TX 62233) | |
| 2279G1100X Respiratory Therapist, Registered, General Care (Licence: TX 62233) | |
| 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: TX 62233) | |
| 2279P3800X Respiratory Therapist, Registered, Palliative/Hospice (Licence: TX 62233) | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: TX 62233) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |