| NPI | 1598547275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 288681) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31008746A) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-08-12 |