NPI | 1538335229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NR0400X (Licence: FL CH 9541) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT6995) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2012-04-27 |