| NPI | 1265207427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 9957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9957) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2025-05-22 |