NPI | 1043026214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT307340) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 307340) |
Enumeration Date | 2024-12-03 |
Last Update Date | 2025-02-13 |