| NPI | 1437278645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014684) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 014684) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-02-28 |