| NPI | 1346306370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 10449) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 0593) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-02-23 |