NPI | 1316078322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 174400000X Specialist (Licence: CA PT20536) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2024-05-22 |