NPI | 1598933426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 35098) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2759) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2010-11-08 |