| NPI | 1578234993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 13237) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2025-08-19 |