NPI | 1508502097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-026929) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2022-05-09 |
Last Update Date | 2022-10-03 |