NPI | 1417270869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010071A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014651) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2010-03-12 |