| NPI | 1487826723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294209) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014804) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2024-04-17 |