| NPI | 1033303862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05007954A) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2016-01-20 |