NPI | 1336571108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT293684) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011110) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2022-07-21 |