NPI | 1295739795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1100497) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 321) |
227800000X Respiratory Therapist, Certified (Licence: KS 16-00580) | |
Enumeration Date | 2005-06-13 |
Last Update Date | 2014-12-18 |