NPI | 1598137119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2494) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11368) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |