NPI | 1003482613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 24461) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 10318) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-03 |
Last Update Date | 2024-05-13 |