| NPI | 1245887991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: IA 097509) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2023-09-26 |