NPI | 1174605513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NH NH3134) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3134) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2024-02-01 |