NPI | 1144711482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070027107) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12894) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2022-12-05 |