NPI | 1093834343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0000365) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A2171) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2023-09-07 |