| NPI | 1326784588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107487) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 23456) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-10-07 |