| NPI | 1396181756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NY 041483-1) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NJ 40qa01251700) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-07-21 |