NPI | 1235632704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201003810) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2018-03-12 |
Last Update Date | 2018-03-12 |