NPI | 1417437161 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31828) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR CP026465T) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2024-09-18 |