| NPI | 1699145375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30636) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT30636) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-07-05 |