NPI | 1427473693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-020562) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 072796) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2014-04-18 |