NPI | 1780723973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014870) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 6822) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2025-09-22 |