NPI | 1528225836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: HI PT-3564) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2008-05-22 |
Last Update Date | 2024-05-13 |