NPI | 1538943477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 121124) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE CP034980T) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2024-09-19 |