| NPI | 1366684086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 31004741A) |
| 174400000X Specialist (Licence: WA OT00004190) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2021-12-08 |