| NPI | 1427483502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-020260) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2021-07-12 |