| NPI | 1063285880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31008247A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 288914) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-07 |