NPI | 1629203484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3431) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT3723) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2019-05-03 |