| NPI | 1083858955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 3933) |
| Additional Taxonomies | 225XE1200X Occupational Therapist Ergonomics (Licence: TN 3933) |
| 225XG0600X Occupational Therapist Gerontology (Licence: TN 3933) | |
| 225XH1200X Occupational Therapist Hand (Licence: TN 3933) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: TN 3933) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |