| NPI | 1144270513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004313) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT14437) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-10-21 |