| NPI | 1740288935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18502) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 18502) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-09-22 |