| NPI | 1336379627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT8209) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2017-05-10 |