| NPI | 1427372754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA z12121) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT790) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |