NPI | 1972726313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
225100000X Physical Therapist (Licence: IL 70015648) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2018-11-28 |