NPI | 1275263311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018743) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2022-06-13 |
Last Update Date | 2024-10-06 |