NPI | 1457728305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022927) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05011661A) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2020-06-18 |