NPI | 1568765188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009993A) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IN 05009993A) |
2251N0400X Physical Therapist, Neurology (Licence: IN 05009993A) | |
Enumeration Date | 2010-12-21 |
Last Update Date | 2012-01-12 |