NPI | 1457431975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11380) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-007414) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2013-10-22 |