| NPI | 1508036567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 13-0322) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 3257) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-11-11 |