NPI | 1598715757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03248) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-008258) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2012-04-12 |