| NPI | 1134243876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26812) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3428) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-03-17 |