NPI | 1568147122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16241) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 39977) |
Enumeration Date | 2023-06-20 |
Last Update Date | 2025-02-13 |