| NPI | 1275178238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-11-27 |