| NPI | 1851343453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P9427) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9427) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-08-25 |