NPI | 1487978961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1103540) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 1999143390) |
225100000X Physical Therapist (Licence: CA PT22735) | |
Enumeration Date | 2010-03-26 |
Last Update Date | 2010-03-26 |