NPI | 1932972551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1385514) |
Enumeration Date | 2023-11-06 |
Last Update Date | 2025-04-14 |