| NPI | 1063656221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1780) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 292356-2401) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2013-04-28 |