NPI | 1558826248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019203) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CO PTL.0019203) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2023-06-16 |