NPI | 1568101855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070026845) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070026833) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2022-08-22 |