NPI | 1619392891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160006681) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06004755A) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2014-02-25 |