NPI | 1942423942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015911) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16778) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2009-05-19 |