NPI | 1841359098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012954) |
Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: NY 012954) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |