| NPI | 1326308883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 226300000X Kinesiotherapist (Licence: CA 030202035) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: CA 2003200044) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |