| NPI | 1275602526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 001224) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-00359) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-01-24 |