NPI | 1184271207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15399-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024678) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2021-05-24 |