NPI | 1770537763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026874-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7207) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2007-07-08 |