NPI | 1811142904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT0208) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 00081R) |
Enumeration Date | 2008-11-18 |
Last Update Date | 2008-11-18 |