| NPI | 1457476335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT2830) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: CA OT2830) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-08-27 |