| NPI | 1356868822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31006422A) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31006422A) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-09-01 |