NPI | 1710405949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070023185) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019015920) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2019-10-29 |