NPI | 1104941640 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0000690) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC007485L) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2023-01-27 |