| NPI | 1144776907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AL 4197) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 4197) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-12-08 |