NPI | 1467491696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009773) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203736) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2015-10-23 |