| NPI | 1336971712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41911) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2026-02-16 |