NPI | 1003609439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05016130A) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2025-05-28 |
Last Update Date | 2025-08-22 |