| NPI | 1598952640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: TX 115139) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: LA 200172) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2020-02-28 |