| NPI | 1295060838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60108403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 009612) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2015-07-08 |