NPI | 1801846381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004560) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-014938) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-03-24 |