NPI | 1588984793 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8440) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 2395) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2024-09-27 |