NPI | 1326127978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10000416) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 17452) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2020-07-07 |