NPI | 1699711044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10001409) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT008320L) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2024-12-30 |