NPI | 1932178589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10009) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT003109) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2007-07-08 |