| NPI | 1588438097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV OT-3361) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: NV OT-3361) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2024-01-05 |