NPI | 1619940822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 087696) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1130342) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2019-02-19 |