| NPI | 1689619447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251E1200X Physical Therapist, Ergonomics (Licence: OH 7525) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 7525) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-08-31 |