| NPI | 1285084640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CO OT.0005158) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 16-0714) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-09-20 |