NPI | 1801024237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5213) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5987) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2016-06-27 |