NPI | 1598348856 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046594) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 046594) |
Enumeration Date | 2021-05-04 |
Last Update Date | 2024-08-07 |