NPI | 1225437866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: IL 070021877) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: GA PT011641) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2025-03-11 |