NPI | 1336558923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5165) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 9454) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2018-12-20 |