| NPI | 1891125969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28550) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 28550) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2025-12-12 |