| NPI | 1437997434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31008747A) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 124632) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-08-27 |