NPI | 1376878108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4288) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2009025549) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2015-07-09 |