| NPI | 1184695447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201003897) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31003459A) |
| 225XH1200X Occupational Therapist, Hand (Licence: OH OToo4093) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |