| NPI | 1336766039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6631) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS 3785) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-12-14 |