| NPI | 1861172926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Additional Taxonomies | 2279E1000X Respiratory Therapist, Registered Educational |
| 2279G1100X Respiratory Therapist, Registered General Care | |
| 2279H0200X Respiratory Therapist, Registered Home Health | |
| 293D00000X Physiological Laboratory | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |