| NPI | 1578681136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4960) |
| Additional Taxonomies | 171R00000X Interpreter (Licence: CO 4960) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-01-31 |