NPI | 1215418199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041420) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: 041420) |
Enumeration Date | 2018-08-28 |
Last Update Date | 2018-08-28 |