NPI | 1275232662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015151A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501302493) |
Enumeration Date | 2023-02-24 |
Last Update Date | 2023-07-10 |