| NPI | 1548357031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA GT4597) |
| Additional Taxonomies | 111NR0400X (Licence: CA DC29007) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |