| NPI | 1407284607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: IN 31006136A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 1702906) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2021-11-11 |