| NPI | 1467260463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NC P22232) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NH CP038484T) |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2024-12-23 |