| NPI | 1073572467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: FL OT25718) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 009876-1) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2025-01-07 |