NPI | 1255740270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022161) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011622) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2017-05-09 |