NPI | 1780439901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.029506) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65582) |
Enumeration Date | 2024-04-22 |
Last Update Date | 2025-09-22 |