| NPI | 1144068974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 14013611-4201) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: UT 14013611-4201) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-10-11 |