NPI | 1518369404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2847) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3519) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-09-23 |