| NPI | 1942812516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61563919) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 298731) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-09-11 |