| NPI | 1285184309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015797A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-022605) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2025-04-18 |