NPI | 1801973540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT32518) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32518) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2016-10-03 |