NPI | 1831353416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3452) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0045094) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2012-10-25 |