NPI | 1528675113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP022580T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10735) |
Enumeration Date | 2020-09-28 |
Last Update Date | 2023-08-02 |