NPI | 1396215893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21119) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872323) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2024-01-31 |