| NPI | 1427470632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010206A) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IN 05010206A) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2026-02-18 |