NPI | 1982012084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011440A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT29284) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2014-08-01 |