| NPI | 1194273185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: WV 2507) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 2554) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2025-02-04 |