| NPI | 1225526098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC OT.5818) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT007036) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2020-05-31 |