NPI | 1437148913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19191) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 016620) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2024-02-12 |