| NPI | 1073043832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 27594) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 17258) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2026-02-22 |