| NPI | 1275038242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 7005) |
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors (Licence: IN 31006400A) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-05-13 |