| NPI | 1164421178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: LA OTT.Z10772) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.Z10772) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2015-04-01 |