NPI | 1265556351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014113) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001884-1) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2014-08-08 |