NPI | 1184067670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010983A) |
Additional Taxonomies | 2251C2600X (Licence: IN 05010983A) |
2251S0007X Physical Therapist, Sports (Licence: IN 05010983A) | |
2251X0800X Physical Therapist, Orthopedic (Licence: IN 05010983A) | |
Enumeration Date | 2013-04-15 |
Last Update Date | 2013-07-16 |