| NPI | 1427630474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6839) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 14055) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-12-01 |