| NPI | 1255842407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31008338A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT006848) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2025-01-02 |