NPI | 1417042235 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA00928300) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022327) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |