NPI | 1861824237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4213) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0094908) |
Enumeration Date | 2013-08-07 |
Last Update Date | 2021-09-15 |