| NPI | 1356492870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0000408) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: DE U1-0000408) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-07-03 |