| NPI | 1588097281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: WI 3739-26) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: MI 5201007151) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2023-10-10 |