NPI | 1447322524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6912) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27320) |
225100000X Physical Therapist (Licence: HI 3203) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2013-03-27 |