NPI | 1053334953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR1534) |
Additional Taxonomies | 174400000X Specialist (Licence: OR 1039824) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-11-12 |