NPI | 1487704946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2684) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1063766) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2018-02-27 |