NPI | 1346351160 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01673600) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001140) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2017-03-31 |