NPI | 1558990036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2001000278) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-04-06 |
Last Update Date | 2020-04-06 |