NPI | 1518753458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070029072) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 23006) |
Enumeration Date | 2025-04-17 |
Last Update Date | 2025-08-11 |