NPI | 1841329257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3709) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02392) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2013-06-04 |