NPI | 1518478189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014238) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2017-10-23 |
Last Update Date | 2020-08-20 |