NPI | 1306887484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05004619A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-013919) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2024-01-23 |