NPI | 1174686539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 19995) |
Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics |
2251G0304X Physical Therapist, Geriatrics | |
2251N0400X Physical Therapist, Neurology | |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2012-03-05 |