| NPI | 1871935635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT292076) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY T13017) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-10-30 |