NPI | 1295843191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018358-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT17656) |
2251H1200X Physical Therapist, Hand (Licence: NY 018358-1) | |
2251H1200X Physical Therapist, Hand (Licence: FL PT17656) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2013-09-17 |