NPI | 1679283824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.027915) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT302754) |
Enumeration Date | 2022-11-29 |
Last Update Date | 2023-12-30 |