| NPI | 1033648241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT17489) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 17489) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2018-03-17 |