| NPI | 1396903357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251E1200X Physical Therapist, Ergonomics (Licence: UT 108157-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 108157-2401) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |