| NPI | 1487009536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5802) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WI 5802-26) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-01-04 |