| NPI | 1548793276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010784) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225X00000X Occupational Therapist (Licence: IN 31008301A) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-08-15 |