NPI | 1093446205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011079) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2022-06-19 |
Last Update Date | 2024-04-02 |