NPI | 1003926676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP004769T) |
Additional Taxonomies | 226300000X Kinesiotherapist |
225100000X Physical Therapist (Licence: TX 1173630) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2021-04-13 |