NPI | 1033762166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007806) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
Enumeration Date | 2019-07-17 |
Last Update Date | 2022-05-26 |