NPI | 1821053232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018804-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018804) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2016-10-01 |