| NPI | 1013288141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 3789) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT1279) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2022-03-14 |