| NPI | 1912632548 |
|---|---|
| Professional Name | JESSE DAVID CARLUCCI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 2110477) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |