| NPI | 1750138384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 2279E1000X Respiratory Therapist, Registered Educational |
| 2279H0200X Respiratory Therapist, Registered Home Health | |
| 2279P1006X Respiratory Therapist, Registered Pulmonary Function Technologist | |
| 2279P3800X Respiratory Therapist, Registered Palliative/Hospice | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |