| NPI | 1871712497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00718000) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: NJ 40QA00718000) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: NJ 40QA00718000) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA00718000) | |
| 2251H1200X Physical Therapist, Hand (Licence: NJ 40QA00718000) | |
| 2251N0400X Physical Therapist, Neurology (Licence: NJ 40QA00718000) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-05-01 |