| NPI | 1225024607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7009) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03496) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-08 |