NPI | 1720031198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2667) |
Additional Taxonomies | 174400000X Specialist (Licence: NH 2667) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2020-02-19 |