NPI | 1245294669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT007357L) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-04-13 |
Last Update Date | 2024-04-26 |