NPI | 1689317786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP-025323T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1347784) |
Enumeration Date | 2022-04-16 |
Last Update Date | 2023-10-03 |