NPI | 1508315466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31006558A) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 171046) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2018-11-12 |