NPI | 1619539053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044272) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 023420) |
225100000X Physical Therapist (Licence: IN 05013119A) | |
Enumeration Date | 2019-07-06 |
Last Update Date | 2019-07-06 |