| NPI | 1558807198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 4031) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2018-01-18 |