NPI | 1871910562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10778) |
225100000X Physical Therapist (Licence: TN 11031) | |
Enumeration Date | 2014-03-20 |
Last Update Date | 2016-10-19 |