| NPI | 1568650794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29433) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT29433) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2014-02-28 |