| NPI | 1316092273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MI 5501015012) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: IN 05003754 A) |
| 2251N0400X Physical Therapist Neurology (Licence: IN 05003754 A) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: IN 05003754 A) | |
| 2251S0007X Physical Therapist Sports (Licence: MI 5501015012) | |
| 2251N0400X Physical Therapist Neurology (Licence: MI 5501015012) | |
| 2251G0304X Physical Therapist Geriatrics (Licence: MI 5501015012) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-10-25 |