| NPI | 1700928330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60154) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 16796) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-09-11 |