NPI | 1336228634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10000663) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 16958) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2016-01-13 |