| NPI | 1437613197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 248688) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 6137) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2023-08-21 |