NPI | 1477722908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014690) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8033) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2024-12-23 |