| NPI | 1588846497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 2768-26) |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics (Licence: WI 2768-026) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2022-05-11 |