| NPI | 1427354455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1287) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02527) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |