NPI | 1497453294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303706) |
Enumeration Date | 2023-02-21 |
Last Update Date | 2024-10-25 |