NPI | 1013958818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT015518) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10001754) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2010-06-14 |