NPI | 1427004670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026695) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005569) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2024-07-25 |