| NPI | 1346448693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 1746) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NC 1021100296) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2020-04-14 |