| NPI | 1326909581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 26389) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 241647) |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |