NPI | 1982870275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3737) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7622) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-11-14 |