| NPI | 1437763703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT009478) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2025-04-08 |