NPI | 1255709135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4015) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NH 4015) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-24 |