NPI | 1629140488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6298) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007358) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2024-07-12 |