NPI | 1861835514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294056) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019751) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2018-03-30 |