NPI | 1538255740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008044A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070006730) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |