NPI | 1073597167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003938A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 3473872401) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2023-09-07 |