NPI | 1285022434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-021251) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2014-12-22 |
Last Update Date | 2023-10-11 |