NPI | 1437601127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20529) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022049182) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-10-27 |
Last Update Date | 2025-07-31 |