NPI | 1588098883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010590) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9538) |
Enumeration Date | 2013-08-23 |
Last Update Date | 2013-08-23 |