| NPI | 1760079958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020025989) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary |
| 2251E1200X Physical Therapist, Ergonomics | |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251H1200X Physical Therapist, Hand | |
| 2251H1300X Physical Therapist, Human Factors | |
| 2251N0400X Physical Therapist, Neurology | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2023-05-27 |