| NPI | 1578293114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215327) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-09-16 |