| NPI | 1750424891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT35752) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015327) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-11-15 |