| NPI | 1447202486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: LA 01827) |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics (Licence: LA 01827) |
| 2251H1300X Physical Therapist Human Factors (Licence: LA 01827) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-01-28 |