| NPI | 1598193831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: GA 005790) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT005790) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2025-05-29 |