| NPI | 1902193279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014220A) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05014220A) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501020021) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1208675) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-04-02 |