NPI | 1174944128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009595) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019778) |
Enumeration Date | 2013-12-18 |
Last Update Date | 2013-12-18 |