| NPI | 1235227448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31001488A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KYR1009) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |