| NPI | 1023052412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201006390) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201006390) |
| 225XH1200X Occupational Therapist, Hand (Licence: MI 5201006390) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-12-27 |