| NPI | 1578138509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 24465) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2023-12-29 |