| NPI | 1477713592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: NC AA381277) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: NC 3569) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-04-23 |