NPI | 1710527742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: NY 038936) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 038936) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2021-04-09 |