| NPI | 1366596017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: FL OT20956) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 0065441) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-09-03 |