| NPI | 1598941874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005638) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004516A) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2021-03-15 |