| NPI | 1538700554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: GA 007503) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2025-08-12 |