| NPI | 1154930519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: TN 4778) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4778) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-07-19 |