NPI | 1538465182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4404) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 2794) |
Enumeration Date | 2011-01-31 |
Last Update Date | 2021-08-25 |