| NPI | 1225145055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: TX 100917) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: TX 100917) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-04-20 |