| NPI | 1730392762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10345-24) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: WI 10345-24) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |