| NPI | 1427296201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10002440) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010784A) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2025-03-18 |