NPI | 1396463691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5138) |
225100000X Physical Therapist | |
Enumeration Date | 2022-08-22 |
Last Update Date | 2024-08-01 |