NPI | 1497196547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05006954A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501009243) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2024-07-26 |