| NPI | 1134408651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: TX 109571) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2023-01-18 |