NPI | 1629052576 |
---|---|
Former Name | DAVID SHULMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4923) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28145) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2007-07-08 |