| NPI | 1457597064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 7187570-4201) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2025-04-23 |