| NPI | 1407297302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 131998) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN IN31004843A) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2021-07-12 |