| NPI | 1821421140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 226300000X Kinesiotherapist (Licence: OH 391941) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OH 0140900) |
| 174400000X Specialist (Licence: OH 391942) | |
| 174400000X Specialist (Licence: OH 391940) | |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-08-11 |