| NPI | 1083213474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NV OT-3593) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: OR 359496) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2025-01-14 |