NPI | 1720708233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030809) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014594) |
Enumeration Date | 2022-09-02 |
Last Update Date | 2023-04-06 |