NPI | 1346674249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040273) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40427) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2017-03-20 |