NPI | 1437163748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12846) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012011) |
Enumeration Date | 2006-07-29 |
Last Update Date | 2013-10-08 |