NPI | 1558638148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2034759) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00608) |
Enumeration Date | 2011-11-26 |
Last Update Date | 2013-04-27 |