NPI | 1497131445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291552) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 14.010583) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2017-02-19 |