| NPI | 1487658886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11-03443) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2025-09-11 |