| NPI | 1114794401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 109528) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: TX 109528) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |