NPI | 1972383024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant |
Additional Taxonomies | 226300000X Kinesiotherapist |
224Y00000X Clinical Exercise Physiologist | |
Enumeration Date | 2023-10-04 |
Last Update Date | 2023-10-04 |