NPI | 1720253453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010272A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016068) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2018-03-17 |