NPI | 1699841031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021313) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 021313) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2021-02-03 |