| NPI | 1336564392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA 13211) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13211) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA 13211) | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2023-04-15 |