NPI | 1568996064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11430) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP019222T) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2023-04-19 |