| NPI | 1073900320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: OR 423249) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-11-29 |