NPI | 1043995525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP025674T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5160) |
Enumeration Date | 2023-06-21 |
Last Update Date | 2023-10-18 |