NPI | 1689330920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH el07911) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25586) |
Enumeration Date | 2021-11-10 |
Last Update Date | 2021-11-10 |