NPI | 1518216258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020794) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24098) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2014-10-15 |