NPI | 1417927831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 12440) |
Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA 00025) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2007-07-08 |