NPI | 1891522041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002504) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30045) |
Enumeration Date | 2024-09-19 |
Last Update Date | 2024-10-09 |