| NPI | 1235465188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 226300000X Kinesiotherapist |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: LA L01119) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |