| NPI | 1528128493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 0156-026) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: WI 0156-026) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-12-31 |