| NPI | 1407385537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10127) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 10127) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |