NPI | 1578266987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 233197) |
Additional Taxonomies | 225100000X Physical Therapist |
2251X0800X Physical Therapist, Orthopedic (Licence: IN 05015011A) | |
Enumeration Date | 2023-03-24 |
Last Update Date | 2025-03-12 |