| NPI | 1285302596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: IN 05010652A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010652A) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-12-27 |