NPI | 1215587746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4825) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27688) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2021-08-26 |