| NPI | 1669125845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019345) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: OH PT019345) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-05-19 |