| NPI | 1093300238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: VA 2305214160) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-08-25 |