| NPI | 1346442191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7975) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |