NPI | 1962485672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 1426) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2783) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2007-07-08 |