NPI | 1649430638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019681) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002368) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2014-12-26 |