| NPI | 1366935736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018305) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |