| NPI | 1427348234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: TX 1158873) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1158873) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2025-09-15 |