NPI | 1992742001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2690) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8851) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2008-07-30 |