| NPI | 1376678334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 119835-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5665) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |