NPI | 1972837789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: WI 10470-146) |
Additional Taxonomies | 226300000X Kinesiotherapist (Licence: IL 1804) |
Enumeration Date | 2009-09-25 |
Last Update Date | 2022-06-13 |