| NPI | 1972522365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 7562) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 7562) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-03-07 |