NPI | 1245390020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27249) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05003434A) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2007-07-08 |