NPI | 1821352915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070013559) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198001289) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2023-10-30 |