| NPI | 1508974833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 535) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 5774) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2023-08-23 |