| NPI | 1568473296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 2237) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: SC 1051100326) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-10-09 |