| NPI | 1912244302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207932) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24346) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2014-11-25 |