| NPI | 1932369402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070007098) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251H1200X Physical Therapist, Hand | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |