| NPI | 1568791606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: NH 2492) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10007) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2023-12-21 |