| NPI | 1053854224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NH 1549) |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: NH 0711) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |