NPI | 1730270059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NH 2171) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2171) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-11-26 |